CAROLYN LOUISE SEIFERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

LOUISE

Last Name

SEIFERT

Suffix

Business Name

CAROLYN LOUISE SEIFERT MD

Original Issue Date

02/06/2003

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020